Tart Cherry + Apricot Oatmeal

Just in time for summer, here’s a delicious new way to start your day.

So many athletes and active individuals tend to eat oatmeal as a morning go-to, and inevitably get stuck in a rut with the same ingredient and flavor combinations day in and day out.

Oatmeal is super nourishing, filling, fiber-rich, and generally an all-around superb breakfast option. But changing it up every now and again is also optimal to encourage digesting and absorbing a wide range of micronutrients as well as feeding diversity in the gut microbial community.

Another challenge that you might find yourself in, is that active individuals often don’t start the day with “enough” food.

Classified as a “within-day energy deficiency,” an example is starting your day with a small breakfast, slightly larger lunch, and then having a moderate to large dinner. OR expending more energy than you’ve consumed (through both activity and daily living), in the early hours of the day and not topping up the tank until hours later, creating metabolic and physiological stress.

I also used to eat this way. It was part of my restrictive eating and diet mentality paradigms.

Not only is this style of consuming most of the day’s caloric energy late in the day problematic for digestion, since eating larger meals late at night is challenging for the body to digest and negatively impacts sleep quality, but it also creates a feast and famine cycle in the mind and body.

When I was caught in this pattern, I was routinely hungry all the time because I was training fairly heavily, and not proportioning all my meals to be adequate for what I needed.

For more information on the topic of Within-Day Energy Deficiency, here and here are two great articles.
And two of the scientific studies frequently referenced on this topic:
Within-Day Energy Deficiency and Reproductive Function in Female Endurance Athletes
Within-Day Energy Deficiency and Metabolic Perturbation in Male Endurance Athletes

The portion size below is “larger” than usual, but just about right for moderately active individuals. If you’re more or less active, or in a larger or smaller body (than average), feel free to adjust portion size accordingly.

Tart Cherry + Apricot Oatmeal 

Prep:  none  | Cook: 10-15  minutes  | Serves: 1

1 1/2 cups water
1/8 tsp. mineral salt
⅛ tsp. ground ginger
⅛ tsp. ground cardamom
¼ tsp. fennel seeds
3/4 cup old-fashioned oats, certified gluten-free as needed
2 Tbs. dried tart cherries
2 apricots, diced (approx. 150 grams)
2-3 tsp. sunflower butter
1-2 tsp. chia seeds

  1. On the stovetop, bring the water, salt, and spices to a boil in a small saucepan.
  2. When boiling, turn down to medium-low, and stir in the oats and dried cherries. Let cook until it is soft and nearly all the water has been absorbed, about five minutes.
  3. Then add in the diced apricot and stir. Turn off the heat and stir in the sunflower butter, and chia seeds, making sure they are spread evenly throughout.
  4. Spoon into a bowl and enjoy!

Notes / Substitution Suggestions:
– adjust the spices as needed for your energetics
– omit the tart cherries and increase to three apricots
– for a smaller portion, use ½ cup rolled oats
– omit either the sunflower butter or chia seeds and double the amount of the one you keep in. 

Within my nutrition practice, I specialize in endurance athletes and digestive imbalances. If you’re curious about how to improve your performance, health, and digestion, I encourage you to reach out to me for more personalized support.

Are You Eating Enough For Your Activity Level, Part II

If you read running websites or magazines, view social media accounts of various athletes, and perhaps overhear conversations in your run community, in the past few years you may have noticed an increased attention to a topic called RED-S (pronounced reds), or relative energy deficiency in sport, which can also be called low energy availability. 

Low energy availability is most accurately calculated by removing the energy cost of your daily exercise from your total dietary caloric (energy) intake, and then having what is left not being enough energy (calories) to support the body’s normal physiological function, such as bone metabolism, endocrine/hormones, reproductive system, etc. Low energy availability is associated with downregulation and impairment of key physiological processes due to the lack of adequate energy support. 

That’s the scientific definition. I simply call it “Not eating enough for your activity level.” Even simpler, that translates to not eating enough.

Not Eating Enough

For a couple decades, one piece of the larger puzzle of relative energy deficiency was known in the sporting community. That piece is the Female Athlete Triad, in which female athletes present with a pattern of low energy availability with or without an eating disorder, in relationship with amenorrhea (lack of menstrual cycle), or irregular menstrual cycle, and low bone density leading to osteopenia and osteoporosis. What we now know is that the Female Athlete Triad is just one section of a larger picture of pathophysiology that can present in athletes with long-term low energy availability. And it is not just a female athlete concern. 

When active individuals are not eating enough for their on-the-move lifestyles – the body, because it is wise, makes decisions about where it is going to prioritize its precious calories. So if you’re going to go for a long run in the forest for several hours, followed by an evening hike or weight session, and then follow with something similar tomorrow and the next day, and throw in a weekend of back-to-back long runs,  AND you’re routinely not eating enough to meet your caloric needs, the body is going to choose where to spend those nutrients—because when this precious energy is used for one function, it is not available for another one. 

Essentially, you are putting your system into survival mode.

And it plays out along these lines as your body says,  “Well, if you’re going to make me go do these workouts, I’ll put my energy here, though maybe with a little less pep, energy, and high-intensity ability, but I’ve got to compromise somewhere, so I’ll make a trade-off  over here with bone metabolism, or over here with female reproductive hormones or thyroid health, or immune function, or over here with the GI system and the ability to break down nutrients in food (because digestive enzymes are made of proteins which may be lacking in the diet), or muscle and tissue repair or”…. and the list goes on.

On Our Radar

So why is this topic suddenly on more people’s radar? One, we have more research and knowledge on the expanded umbrella of RED-S and the widespread physiological consequences of being at a long-term energy deficit. But also because it’s fairly common for active individuals to not realize they’ve adopted many of the beliefs of the diet industry into their eating habits over the years. Or they may simply be eating to hunger levels, and still not be eating enough.

And, just eating to hunger can sometimes be misleading for us as highly active folks. For instance, many athletes have a suppressed appetite after long or intense workouts or races. In those cases, it’s ideal to replace nutrients after exercise—but when digestion is compromised, the body won’t metabolize the food as it should—hence the potential for working with a nutrition professional to help get the digestive system back to balance. Alternatively, we might need to learn to recognize the symptoms of hunger that often go beyond an empty stomach.

Within-Day Energy Balance

The other side of that low energy availability coin can also mean within-day energy balance. Meaning we don’t stack the majority of our calories into one meal or couple of hours of the day. Eating to fullness, or 80 percent of fullness, is recommended, but if you ever notice you get to the point of overeating after exercise by having excessively large meals that seem to top you up beyond fullness, it is often because of low energy intake throughout the day fueling a need for more food spread throughout the hours. This can often occur after a long run. In this case, you can train your body to tolerate more fuel during a run, and then you’ll likely both recover better, but also will have stressed your body less with the huge energy deficits and then subsequent deposits. 

 With a more even or adequate energy intake before and during a long workout, you can avoid that ravenous feeling of needing to eat quickly and impulsively.

A Self-Assessment to Help Navigate Your Energy Needs

If this topic has kindled your curiosity about meeting your own energy needs, my suggestion is to start with a self-assessment rather than calculating calories and meticulously tracking meals—those can be highly inaccurate and lead to neurotic food obsession. Ask yourself these questions:

– Am I frequently sick more than a couple times per year?
– Do I struggle with fatigue frequently?
– Have I stopped improving in my performance – either have plateaued or gone backwards despite training?
– Have I had a lot of injuries?
– How’s my overall health? Basic bloodwork results hold a plethora of data on how the body is ‘performing’ internally.
– How is my menstrual cycle and/or sex drive? Women have a little advantage here in that any menstrual symptoms or irregularities* are symptoms telling you to heed warning because there’s a larger health imbalance.
– Do I have a lot of gut upset / discomfort, or food intolerances?
– Am I routinely irritable, depressed, anxious, or have decreased concentration?
– Am I sleeping well?
– and if you have teammates or friends/family that you work out with regularly: Do I eat less than my teammates but have a higher body fat? This is subjective of course because every body is different, but higher body fat and eating less is also a tell-tale sign, since lower metabolic rate occurs with lower energy availability, meaning you might be eating less but weighing more or having more “cushion” than previously.
– and one more because it can become prevalent with long-term low energy availability: Am I thinking about food ALL THE TIME? We know from eating disorder and starvation studies that chronically deprived individuals become obsessed with food, far beyond just being interested in food.

Where to go from here?

Above all, food and exercise should make you feel good. The goal is to be aware and in tune with yourself and your body’s ability to show you signs that something may not feel right or as great as it should.

And you may benefit from professional guidance. If you’re confused or concerned about your needs, or would like a professional opinion, I invite you to reach out to me for more personalized support.

*Women on hormonal birth control will not have the same ability to use their menstrual cycle to gauge abnormalities, since it is designed to eliminate ovulation and the normal hormonal fluctuation that occurs. If symptoms or irregularities occur without birth control, that is a vital sign that your body has an imbalance somewhere.
The  information shared in this article does not intend to treat, diagnose, cure, or prevent any disease.

 

Mini-Meals to Keep You Going

Ideally we spread our meals out throughout the day and leave time in between them for full digestion to occur, so we’re not throwing more food in when the last meal hasn’t fully digested. This causes more problems over time in other ways. In an ideal routine, aim for eating at intervals of four to six hours after a full meal, and two to four hours after a light meal instead of snacking continuously all day. The above article is featured over on the Territory Run Co. run journal, along with three snack recipes for those in-between times, featuring iron and vitamin C-rich Wonder Woman Bars, William’s Oatmeal Raisin Bites, and Sweet Potato Spanish Tortilla. Get the recipes here.

References:

2018 UPDATE: Relative Energy Deficiency in Sport (RED-S)
Fahrenholtz, IL., Sjodin, A., Benardot, D., Tornberg, AB., Skouby, S.,…and Melin, AK. (2018). Within-day energy deficiency and reproductive function in female endurance athletes.
Jeukendrup, A. (2013). The New Carbohydrate Intake Recommendations. Nutritional Coaching Strategy to Modulate Training Efficiency. Nestlé Nutrition Institute Workshop Series,63-71. doi:10.1159/000345820 
Jeukendrup, A. E. (2017). Training the Gut for Athletes. Sports Medicine (Auckland, N.z.), 47(Suppl 1), 101–110. http://doi.org/10.1007/s40279-017-0690-6
McKay, A.K.A., Pyne, D.B., Burke, L.M. and Peeling, P. (2020). Iron Metabolism: Interactions with Energy and Carbohydrate Availability. Nutrients, 12: 3692. https://doi.org/10.3390/nu12123692.
Torstveit, MK., Fahrenholtz, IL., stenqvist, TB., Svlta, O., Melin, A. (2018). Within-day energy deficiency and metabolic perturbation in male endurance athletes.

Are you eating enough for your activity level?

Today’s topic is one that’s been on my mind a whole lot lately. A nutrition question that is frequently asked is:  Should I be eating intuitively when I’m hungry or tracking what I eat and going off the numbers?

Before I tell you my answer, I’d like you to think about this question for a moment. No really, take a moment and think about what you’d say if someone asked you. (Humor me please, this is the educator in me.)

From my instagram a couple weeks ago: as mileage and/or time on feet goes up, eating becomes almost another part-time job. the last few days I felt like I wasn’t quite eating enough, and not surprisingly, today’s long run felt a little extra challenging.
low energy availability is extremely common in athletes, and long term, it can cause widespread physiological and psychological imbalances.
so the short story is if you’re moving a lot, you need to be eating a lot.

Now, my answer:  YES, eat intuitively!! Tracking numbers often leads to becoming reliant on the numbers rather than recognizing your own body’s needs. Your body is incredibly wise and those tracking websites and apps are all using estimates. They’re estimating your energy needs and using nutrition data done in a lab on a random sample item of the food tested. And that’s not to mention that your estimates of portion size, etc. are usually not entirely accurate either.
So random sample food that may not reflect the actual nutrition of the food you ate, formula estimating your energy needs, and, unless you’re a super type-A person that weighs every morsel ingested to the nearest gram (also please don’t do this), inaccurate food measurement. Yes, they can give you an idea if you might be in the ballpark with your nutrition needs, but as above, it can vary so much. And yes, some individuals can go into a lab and get their metabolic rate measured to determine a more accurate picture of energy needs, but most of us don’t have access to or need that data.

AND also my answer: It depends. Many active individuals are actually not eating enough for their on-the-move lifestyles – and the body, because it is wise, makes decisions about where it is going to prioritize its precious calories. So if you’re going to go for a trail run in the forest for the day followed by an evening bike ride or weight session, and then follow with something similar tomorrow and the next day, and throw in a weekend long couple workouts, AND you’re routinely not eating enough to meet your caloric needs, the body is going to choose where to spend those nutrients because when this precious energy is used for one function, it is not available for another one. Essentially, you are putting your system into survival mode.

And it plays out along these lines as your body says,  “Well, if you’re going to make me go do these workouts, I’ll put my energy here, though maybe with a little less pep, energy, and high-end ability, but I’ve got to rob Peter to pay Paul, so I’ll compromise over here with bone metabolism, or over here with female reproductive hormones or thyroid health, or immune function, or over here with the GI system and the ability to break down nutrients in food (because digestive enzymes are made of proteins which may be lacking in the diet), or muscle and tissue repair or”…. and the list goes on.

Why am I bringing all this up? Because it’s actually common for active individuals to be eating to hunger levels and still not be eating enough.

While intuitive eating means we should honor our hunger, many athletes have a suppressed appetite after long or intense workouts, and we still need to replace nutrients quickly after exercise, and learn to recognize that symptoms of hunger go beyond simply an empty stomach.

While intuitive eating means we should respect our fullness, if you get to the point of overeating by having excessively large meals, it is often because of low energy intake throughout the day or because you did some seriously strenuous exercise. With more even or adequate energy intake before and during a long workout, you can avoid that ravenous feeling of needing to eat quickly and impulsively, which means you’re paying more attention to fullness.

A SELF-ASSESSMENT TO HELP YOU NAVIGATE YOUR ENERGY NEEDS

So what to do if tracking all your meals isn’t very accurate (and not to mention time-consuming and takes the joy out of eating and deciding what to eat), and eating intuitively might be a little faulty, especially at the beginning?

My suggestion is to start with a self-assessment. Ask yourself these questions:
– Am I sick more than I should be?
– Do I struggle with fatigue more than I think I should?
– Am I improving in my performance?
– Have I had a lot of injuries?
– How’s my overall health?
Basic bloodwork results holds a plethora of data on how the body is ‘performing’ internally.
– How is my menstrual cycle and/or sex drive? Women have a little advantage here in that any menstrual symptoms or irregularities* are symptoms telling you to heed warning because there’s a larger health story.
– Do I have a lot of gut upset / discomfort?
– Am I more irritable, depressed, anxious, or have decreased concentration?
– Am I sleeping well?
– and if you have teammates or friends/family that you work out with regularly: Do I eat less than my teammates but have a higher body fat? This is subjective of course because every body is different, but yep, higher body fat and eating less is also a tell-tale sign, since lower metabolic rate occurs with lower energy availability, meaning you might be eating less but weighing more or having more cushion than previously.
– and one more because it can become prevalent with long term low energy availability: Am I thinking about food ALL THE TIME? We know from eating disorder and starvation studies that chronically deprived individuals become obsessed with food, far beyond just being interested in food.

So where to go from here?
Above all, food and exercise should make you feel good. The goal is to be aware and in tune with yourself and your body’s ability to show you signs that something may not feel right or as great as it should.

And you may benefit from professional guidance. If you’re confused or concerned about your needs, or would like a professional opinion, I invite you to reach out to me for more personalized support.

*Women on hormonal birth control will not have the same ability to use their menstrual cycle to gauge abnormalities, since it is designed to eliminate ovulation and the normal hormonal fluctuation that occurs. If symptoms or irregularities occur without birth control, that is vital sign that your body has an imbalance somewhere.
This information does not intend to treat, diagnose, cure, or prevent any disease. 

References:
2018 UPDATE: Relative Energy Deficiency in Sport (RED-S)
Bronwen, L., Rowe, G., and Girdlestone, C. (2020). Low Energy Availability – an imbalance that impacts more than performance. CompeatCon Nutrition Conference.
Fahrenholtz, IL., Sjodin, A., Benardot, D., Tornberg, AB., Skouby, S.,…and Melin, AK. (2018). Within-day energy deficiency and reproductive function in female endurance athletes.
Torstveit, MK., Fahrenholtz, IL., stenqvist, TB., Svlta, O., Melin, A. (2018). Within-day energy deficiency and metabolic perturbation in male endurance athletes.
Tribole, E. and Resch, E. (2003). Intuitive Eating: A revolutionary program that works. (2nd ed.). St. Martin’s Griffin.